Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $2,835.28 / $20,680.40	Facility		$1,207.09	$2,835.28	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.37 / $1,207.09 / $2,835.28	Professional		$963.37	$1,207.09	$2,835.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,312.34 / $12,225.07	Facility		$55.00	$1,312.34	$12,225.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.41 / $2,253.40 / $10,574.00	Professional		$1,338.41	$2,253.40	$10,574.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.08 / $1,955.88 / $2,862.29	Professional		$1,218.08	$1,955.88	$2,862.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $926.28 / $2,048.12 / $2,492.23	Facility		$926.28	$2,048.12	$2,492.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,198.93 / $2,090.50 / $2,655.12	Professional		$1,198.93	$2,090.50	$2,655.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $1,124.78 / $2,192.04	Professional		$58.07	$1,124.78	$2,192.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,557.18 / $1,835.72 / $2,153.38	Facility		$1,557.18	$1,835.72	$2,153.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.34 / $1,312.34 / $1,326.21	Facility		$1,312.34	$1,312.34	$1,326.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,394.13 / $2,196.71 / $2,632.40	Professional		$1,394.13	$2,196.71	$2,632.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,338.41 / $1,907.77 / $2,569.71	Professional		$1,338.41	$1,907.77	$2,569.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.61 / $1,705.22 / $2,787.39	Professional		$1,201.61	$1,705.22	$2,787.39